دورية أكاديمية
Estimating the changing burden of disease attributable to high sodium intake in South Africa for 2000, 2006 and 2012
| العنوان: | Estimating the changing burden of disease attributable to high sodium intake in South Africa for 2000, 2006 and 2012 |
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| المؤلفون: | B Nojilana, N Abdelatif, A Cois, A E Schutte, E Wentzel-Viljoen, E B Turuwa, R A Roomaney, O F Awotiwon, I Neethling, R Pacella, V Pillay-van Wyk, D Bradshaw |
| المصدر: | South African Medical Journal, Vol 112, Iss 8B (2022) |
| بيانات النشر: | South African Medical Association, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Medicine LCC:Medicine (General) |
| مصطلحات موضوعية: | Hypretension, cardiovascular disease, Medicine, Medicine (General), R5-920 |
| الوصف: | Background. Elevated sodium consumption is associated with increased blood pressure, a major risk factor for cardiovascular and chronic kidney disease. Objectives. To quantify the deaths and disability-adjusted life years (DALYs) attributed to high sodium intake in persons aged ≥25 years in South Africa (SA) for 2000, 2006 and 2012. Methods. Comparative risk assessment (CRA) methodology was used and population attributable fractions (PAFs) of high sodium intake, mediated through high blood pressure (BP), for cardiovascular and chronic kidney disease were estimated. This was done by taking the difference between the PAF for elevated systolic BP (SBP) based on the estimated SBP level in the population and the PAF based on the estimated SBP that would result if sodium intake levels were reduced to the theoretical minimum risk exposure level (1 g/day) according to population group and hypertension categories. A meta-regression based on data from nine national surveys conducted between 1998 and 2017 was used to estimate the prevalence of hypertension by age, sex and population group. Relative risks identified from international literature were used and the difference in PAFs was applied to local burden estimates from the second South African National Burden of Disease Study. Age-standardised rates were calculated using World Health Organization (WHO) standard population weights. The attributable burden was also estimated for 2012 using an alternative target of 2 g/day proposed in the National Strategic Plan for the Prevention and Control of Non-communicable Diseases (NSP). Results. High sodium intake as mediated through high SBP was estimated to cause 8 071 (95% uncertainty interval (UI) 6 542 - 15 474) deaths in 2012, a drop from 9 574 (95% UI 8 158 - 16 526) in 2006 and 8 431 (95% UI 6 972 - 14 511) in 2000. In 2012, ischaemic heart disease caused the highest number of deaths in persons (n=1 832), followed by haemorrhagic stroke (n=1 771), ischaemic stroke (n=1 484) and then hypertensive heart disease (n=1 230). Ischaemic heart disease was the highest contributor to deaths for males (27%), whereas for females it was haemorrhagic stroke (23%). In 2012, 1.5% (95% UI 1.3 - 2.9) of total deaths and 0.7% (95% UI 0.6 - 1.2) of total DALYs were attributed to high sodium intake. If the NSP target of |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0256-9574 2078-5135 |
| Relation: | https://samajournals.co.za/index.php/samj/article/view/203; https://doaj.org/toc/0256-9574; https://doaj.org/toc/2078-5135 |
| DOI: | 10.7196/SAMJ.2022.v112i8b.16490 |
| URL الوصول: | https://doaj.org/article/05aca8eed6ea4c8791d95a050e5521c0 |
| رقم الأكسشن: | edsdoj.05aca8eed6ea4c8791d95a050e5521c0 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 02569574 20785135 |
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| DOI: | 10.7196/SAMJ.2022.v112i8b.16490 |